Comparison of the Application Value of CT Enhanced Scanning and MRI Examination in the Diagnosis of Primary Liver Cancer Patients
Objective To analyze the value of CT enhanced scanning and magnetic resonance imaging(MRI)in the diagnosis of primary liver cancer(HCC).Methods A total of 96 suspected HCC patients admitted to Danjiangkou First Hospital from April 2022 to April 2023 were selected,all of whom underwent CT enhanced scanning and MRI examination,with pathological examination as the"gold standard".The value of combining the two methods in diagnosing HCC was analyzed.Results Among the 96 suspected HCC patients,a total of 67 were detected by the gold standard and 66 were detected by MRI,CT enhanced scanning detected a total of 58 cases.The sensitivity and accuracy of MRI in diagnosing HCC were 97.01%(65/67),96.88%(93/96),and the negative predictive value was 93.33%(28/30),which was higher than the 83.58%(56/67),86.46%(83/96),and 71.05%(27/38)of CT enhanced scanning alone,the differences were statistically significant(P<0.05).The Kappa test showed excellent consistency between MRI and the"gold standard"(Kappa=0.927,P<0.001).The consistency between CT enhanced scan and the"gold standard"was moderate(Kappa=0.705,P<0.001).Conclusion Compared with CT enhanced scan,MRI has a higher diagnostic accuracy.The study results in this paper provide references for the formulation of post-diagnosis criteria for HCC,and have certain diagnostic efficacy.
primary liver cancerCT enhanced scanningmagnetic resonance imagingsensitivityspecificitypositive predictive value
万方数据
维普
